Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BLAKE DENVER ALTOM, M.S., MFT INTERN
Active Sole ProprietorMR. BLAKE DENVER ALTOM, M.S., MFT INTERN is a Foster Care Agency healthcare provider located in LOGAN, Utah. NPI 1255657201 is currently active in the NPPES registry. Verify at CMS.
Foster Care Agency · LOGAN, UT
Registration Details
- NPI Number
- 1255657201
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2010 (16.534452822051 yrs)
- Last Updated
- Apr 15, 2010
- License
-
7195889-3904 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
242 ROSEWOOD CIRLOGAN, UT, 843215045Browse UT providers · Browse ZIP 84321
- Phone
- 4355121304
- Primary Specialty
-
Foster Care Agency
253J00000X
- Additional Specialty
- Foster Care Agency
Other Foster Care Agency Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| THOMAS VERNON FRAZIER | — | 1104127877 |
| ASHLEY CATHERINE DASIANU | — | 1770877730 |
| DIANE BINGHAM | — | 1376825364 |
| BRANDON C MILLER | — | 1205344645 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.